KIM E BLACKSTONE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041311752

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

BLACKSTONE

Business Name

KIM E BLACKSTONE

Original Issue Date

09/25/1998

Effective Date

05/27/2016

Expiration Date

05/31/2018

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018

Case Number

2016011604

Action

Suspension

Discipline Start Date

03/11/2017

Discipline End Date

03/02/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/05/2018.